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目的了解浙江省市、县级疾病预防控制中心(疾控中心)2009—2013年经费收支情况。方法设计年度经费收支情况调查表,对11个市级疾控中心和87个县级疾控中心2009—2013年度经费收入和支出情况进行调查,并进行统计分析。结果浙江省市级疾控中心2009—2013年平均年收入由2 676.74万元增加至3 372.87万元,年均增长率1.52%,其中本级财政拨款占比由61.64%增至80.80%,有偿服务收入占比由24.03%降至15.17%;平均年支出为2 913.86万元,其中业务支出由39.38%增至44.70%。县级疾控中心2009—2013年平均年收入由954.00万增加至1 113.63万元,年均增长率0.86%,其中财政拨款占比由48.05%增至75.63%,有偿服务收入占比由42.49%降至16.86%;县级平均年支出为1 080.29万元,其中业务支出和在编人员支出分别占37.10%和34.97%。结论浙江省市、县级疾控中心2009—2013年经费收入有较大增长,本级财政投入明显增加,但仍未实现全额保障,有偿服务收入仍占一定比例。建议将疾控机构收支全部纳入预算管理,建立健全与工作任务增加相对应的财政投入增长机制,为疾控机构更好地履行疾病预防控制职能提供保障。
Objective To understand the income and expenditures of the municipalities and county-level centers for disease control and prevention (CDC) in 2009-2013 in Zhejiang Province. Methods A questionnaire was designed to investigate the annual income and expenditures of 11 municipal CDCs and 87 county-level CDC in 2009-2013, and to conduct statistical analysis. Results The average annual income of Zhejiang provincial CDC increased from 22.6764 million yuan to 37.282 million yuan in 2009-2013 with an average annual growth rate of 1.52%, of which the proportion of financial allocations of this level increased from 61.64% to 80.80% The proportion of service revenue dropped from 24.03% to 15.17%. The average annual expenditure was 29.1348 million yuan, of which the operating expenses increased from 39.38% to 44.70%. The average annual income of county-level CDC increased from 9,540,000 to 11,136,300 with an average annual growth rate of 0.86% from 2009 to 2013, of which the proportion of financial allocation increased from 48.05% to 75.63%, and the proportion of paid service revenue from 42.49% To 16.86%. The average annual expenditure at the county level is 10,802,900 yuan, of which 37.10% and 34.97% respectively for business expenditures and staff costs. Conclusions The expenditures of major cities and counties in Zhejiang Province during 2009-2013 have increased greatly. The financial input at this level has obviously increased. However, the full protection has not yet been reached, and the paid service income still accounts for a certain proportion. It is suggested that all expenditures and expenditures of the CDC should be included in the budget management, establish and improve a mechanism for increasing financial input corresponding to the increase of tasks, and provide a guarantee for the CDC to better perform its disease prevention and control functions.